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HomeMy WebLinkAbout08-7446 CITY OF ZEPHYRHILLS 5335 - '8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE -... ;: "':":- -_., t_,,- 7446 - Permit Number: 7446 Permit Type: FIRE PROTECTION MAINTENANC Class of Work: FIRE-PROTECTION MAINTENAN E Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 1/30/2008 25.00 25.00 1/30/2008 Phone: FPM-HOLE IN ONE DONUT SHOP-SUPPRESS ION-BEING DONE ON 1-30-08 Address: 5048 GALL BL V ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0000-01400-0000 Name: CUMBERLAND FARMS Address: 777 DEHAM ST CANTON,MASS Cu~e~ ~ ~B zf(2-b~ (2./7Jo~) ~ Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire prevention and protection related activities such as inspections, plan review, administrative fees, and other costs related to the aforementioned. Complete Plans, Specifications and Fee Must Accompany Application, Commencement of work without written approval of the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater, All work shall be performed in accordance with City Codes and Ordinances, "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." .... P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 Date Rec<~ived I 1 d&'200R City of Zephyrhills Fire Permit Application I I Owner Nlune Contact Phone Nbr 352-424-0906 Hole In One Donut Shop Owner Phone R13 I I 46R I I 5R03 Owner Address Fee Simple Title Holder I Titleholder Phone Nbr II II Fee Simplle Titleholder Address Job Addn:ss 5048 Gall Blvd, Zephyrhills, Fl Subdivision Bio-Hazard Waste Storage - ANNUAL Coram Exhaust Kitchen Hood - Duct D D D D Controlled Bum Emergency Generator <30 KW Emergency Generator> 30KW Fin: Protection Maintenance - Annual Parcel ill D D D D D D Fumigation Tent Hazardous Material (Tier II or RQ Facility) Annual Hood Installation LP - Natural Gas Installation LP - Natural Gas Annual Sale Places of Assembly - Annual D D ~ D D D D D D Sprinkler Fire Alarm Hood Clean - Suppression Flire alarm Installation Fire Pums Fire Works Flammable Application - Annual Fuel Tanks E3 E3 E3 Recreational Bum Sparklers Sprinkler System Installations Standpipes ( Sprinkler System) Torch Roofmg Waste Tire Storage Annual Value of Project $ I I Other: I Contractof Sign Company Address Address Electrician Sign. Plumber Sign Address Other Sign Address Address Mechanical Registered 18330 Lawrence Rd. Dade City, Fl y N I Fee Current I License Company Registered y N I Fee Current I License Company Registered y N I Fee Current I License Company Registered I N I Fee Current I y License Directions: Fill out application completely. Company Owner & Contractor sign back of application, notorize ( Or signed Copy of ccmtract with owner) Registered If over $2500.00, a Notice of Commencement is required Mechanical work of ( $5000.00 ) requires a Notice of Commencent Supply two (2) sets of drawings with applicable documentation Allow 10 - 14 days for review after submittal date. Security Fire Equipment, LLC Y N I Fee Current 502552000220004 NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions". ~:..:. which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILmES: If the owner has hired a contractor or- - .. contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Divisiol"l--t.icensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block. of this application for which they win be responsible. If you, as the owner sign as the contractor,lhat may be an indication that he is not properly liciensed and is not entitled to permitting privileges in Pasco County. . CONSTRUCTION LIEN .LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applidant, have been provided with a copy of the "Florida Construction Lien Law-Homeowners Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the .owner", I;certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. 'CONTRACliOR'S/OWNER'S AFRDAVIT: I certify that all the information in this application is accurate and , that all work will be done in compliance witti all applicable laws regulating construction, zoning and land ,development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation. has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and hilnd development regulations in the jurisdiction. I also certify that I understand that the regulations of other I govemmentagencies may apply to the intended work, and that it is my responsibility to identify what actions I , must take to be in compliance. If J am the AGENT FOR'THE OWNER. I promise in good faith to inform the owner of the permitting conditions set forth in tilis affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, . plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit Issued shall be construed. to be a license to pr!Jceed with the work and not as authority to violate, cancel, alter, or set aside aflY provisions: of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors In plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit i~ suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the jOb is considered abandoned. i WARNING'TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOnCE OF COMMENCEMENT. FLORIDA JU'r'T (F.S. 117,03) ~. OWNER OR AGENT CONTRACTOR d e_..q~ Subsaibed andb;wom to (or affirmed) before me this Subsaibed ~ to (or a ed) before me this Who is/are personally known to me or haslhave produced Who Isfare personally known to me or has/have produced as identification. . as identification. Notary Public Notary Pubfic , Commission No. I Commission No. Name of Notary typed. printed'llT stamped Name of Notary typed. printed or stamped